Evidence map›Paper›PMID 36799236›Full record

ArticleCartilage2023

Is the Synovium the First Responder to Posttraumatic Knee Joint Stress? The Molecular Pathogenesis of Traumatic Cartilage Degeneration.

Adam Kwapisz, Katarzyna Herman, Amit Momaya, Marcin Piwnik, Janusz Szemraj, Joseph Elphingstone, Marek Synder, Andrzej Grzegorzewski

Open access · hybridAbstract read
In one paragraph

Article in Cartilage, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.5field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 2 countries.

Adam KwapiszClinic of Orthopedics and Pediatric Orthopedics, Medical University of Lodz, Lodz, Poland.
Katarzyna HermanDepartment of Orthopedics and Traumatology, Brothers Hospitallers Hospital Katowice, Poland.ORCID 0000-0001-9696-7758
Amit MomayaDepartment of Orthopedic Surgery, The University of Alabama at Birmingham, Birmingham, AL, USA.
Marcin PiwnikClinic of Orthopedics and Pediatric Orthopedics, Medical University of Lodz, Lodz, Poland.
Janusz SzemrajDepartment of Medical Biochemistry, Medical University of Lodz, Lodz, Poland.
Joseph ElphingstoneDepartment of Orthopedic Surgery, The University of Alabama at Birmingham, Birmingham, AL, USA.
Marek SynderClinic of Orthopedics and Pediatric Orthopedics, Medical University of Lodz, Lodz, Poland.
Andrzej GrzegorzewskiClinic of Orthopedics and Pediatric Orthopedics, Medical University of Lodz, Lodz, Poland.
Medical University of Lodz · PLUniversity of Alabama at Birmingham · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this study was to evaluate if a similar catabolic and inflammatory gene pattern exists between the synovium, hyaline cartilage, and blood of patients with the knee joint tissues and if one precedes the other.

designA total of fifty-eight patients (34 females and 24 males) with a mean age of 44.7 years (range, 18-75) underwent elective knee arthroscopy due to previously diagnosed pathology. Full blood samples were collected preoperatively from synovium and cartilage samples intraoperatively. Real time PCR with spectrophotometric analysis was performed. Following genes taking part in ECM (extracellular matrix) remodeling were selected for analysis: MMP-1, MMP-2, MMP-8, MMP-9, MMP-13, MMP-14, ADAMTS-4 (Agg1) and ADAMTS-5 (Agg2) proteases, TIMP-1, and TIMP-2 - their inhibitors - and IL-1 and TNF-α cytokines.

resultsAnalysis revealed a strong and significant correlation between gene expression in synovial and systemic blood cells (p <0.05 for all studied genes) with ADAMTS-4, ADAMTS-5, IL-1, TNF-α and TIMP-2 expression most positively correlated with an R>0.8 for each. An analysis between chondrocytes and systemic blood gene expression shown no significant correlation for all genes. Bivariate correlation of International Cartilage Repair Society grading and genes expression revealed significant associations with synovial MMP-1, MMP-2, MMP-8, MMP-9, IL-1, TNF-α and TIMP-2.

conclusionWe suggest that the synovial tissue is the first responder for knee joint stress factors in correlation with the response of blood cells. The chondrocyte's genetic response must be further investigated to elucidate the genetic program of synovial joints, as an organ, during OA development and progression.

Indexed as

Cartilage, ArticularCartilage DiseasesEmergency RespondersAdultFemaleHumansInterleukin-1Knee JointMaleMatrix Metalloproteinase 1Matrix Metalloproteinase 2Matrix Metalloproteinase 8Matrix Metalloproteinase 9Synovial MembraneTissue Inhibitor of Metalloproteinase-2Tumor Necrosis Factor-alphaInterleukin-1Matrix Metalloproteinase 1Matrix Metalloproteinase 2Matrix Metalloproteinase 8Matrix Metalloproteinase 9Tissue Inhibitor of Metalloproteinase-2Tumor Necrosis Factor-alphaarticular cartilagebiomarkerscytokines and growthdiagnosisfactorsosteoarthritisotherresearch methodstissue

Identifiers

PMID36799236
PMCPMC10807737
OpenAlexW4321168520

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.